At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Seeking candidates with a diverse nursing background in Medical-Surgical nursing in either a clinic or hospital setting. Experience with virtual training is also required for this position. This is a full-time Registered Nurse telehealth role supporting clients on the east coast. Work schedule is in alignment with EST.
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Monday-Friday working 3-day shifts and 2 evening shifts a per week
Evening hours end at 9:00 PM EST
Rotating 5-hour day shift on Saturday will be required per business needsJOB DESCRIPTION
The Health Coach Consultant utilizes a collaborative process of assessment, planning, implementation and evaluation, to engage, educate, and promote and influence member's decisions related to achieving and maintaining optimal health status.
- Assesses members through the use of clinical tools and information/data review, conducts comprehensive evaluation of member's needs and benefit plan eligibility for available integrated internal and external programs/services
-Utilizes assessment techniques to determine member's level of health literacy, social determinants of health, technology capabilities, and/or readiness to change
Enhancement of Medical Appropriateness & Quality of Care:
-Application and/or interpretation of applicable criteria and guidelines, health/wellness management plans, policies, procedures, regulatory standards while assessing benefits and/or member's needs to enable appropriate utilization of services and/or administration and integration with available internal/external programs
-Using holistic approach consults with supervisors, Medical Director, Social Worker, Pharmacist and/or others to overcome barriers to meeting goals and objectives
-Identifies and escalates quality of care issues through established channels
-Utilizes influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health
-Provides coaching, information, and resources/support to empower the member to make ongoing independent medical and/or healthy lifestyle choices
-Interprets and utilizes clinical guidelines/criteria to positively impact members health
-Provides up-to-date healthcare information to help facilitate the member's understanding of his/her health status
-Helps member actively and knowledgably participate with their provider in healthcare decision-making
Monitoring, Evaluation and Documentation of Care:
- Develops and monitors established plans of care, in collaboration with the member and/or attending physician, to meet the member's goals
- Utilizes internal policy and procedure in compliance with regulatory and accreditation guidelines
Required Qualifications
- Must be a Registered Nurse with experience facilitating virtual group presentations or trainings
- Three years of experience in adult Med/Surg nursing in hospital or clinic setting
-Must have an unrestricted compact license in state of residence, with the ability to apply for and obtain additional licenses required per account needs
- Must possess/be willing and able to obtain high speed internet access and be hardwired to
Internet
- 1+ years of experience documenting in Electronic Medical RecordsPreferred Qualifications
- 1+ years of telephonic 1:1 health coaching experience
- Previous Managed care experience
- Experience with Microsoft Word, Outlook, Excel products
-Experience using multiple digital applications simultaneously, while conducting assessment interviews and documenting member responses
Education
Associate or Bachelor's degree required Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:$54,095.00 - $116,760.00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
- Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
- Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.